HomeMy WebLinkAbout20080169.tiff MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
CLE-001090471-09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
TWO LOGAN SQUARE POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
PHILADELPHIA, PA 19103-2797 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Ann:Comcast.Certs@marshcom Fax:212-948-0360 COMPANIES AFFORDING COVERAGE
COMPANY
05194-ALL-GAWU-07-08 COMC DENVE CO A DISCOVER PROPERTY 8 CASUALTY INSURANCE COMPANY
INSURED COMPANY
COMCAST OF CALIFORNIA/COLORADO/TEXAS/ I B ACE PROPERTY&CASUALTY INS CO
4700 S. SYRACUSE STREET,SUITE -
DENVER, CO 80237 COMPANY
C FIDELITY&GUARANTY INS.CO.
COMPANY
D N/A
COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITYI GENERA L AGGREGATE I$ 25,000,000
OCCUR
12/01/07 12/01/08 I
PRODUCTS-COMP/OP AGG $ 6 000 000
A X CONTRACTOR'S PROT D001O00048 II PERsoNALSADV INJURY $ 4,900,000
{I CLAIMS MADE ��x�'
I OWNER'S 8 CONTRA EACH OCCURRENCE $ 4,900,0®
FIRE DAMAGE(Any one fire) .__$-_ 4.900,000
(X 1100,OD0 SIR MED EXPIAny one Person) $ 10,000
AUTOMOBILE LIABIUTY
fie 1_ ANY AUTO D001A00340(AOS) 12/01/07 12/01/08 1
A X , COMBINED SINGLE LIMIT $ 10,000,000
_I'I ALL OWNED AUTOS D001A00341 (MA) 12/01/07 1 12/01/08 BODILY INJURY $
A SCHEDULED AUTOS D001A00342(TX) 12/01/07 1112/01/08 (Per person)
_ _ HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS /Per accident)
1 I
_._ _—... PROPERTY DAMAGE I$
i
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ -_
ANY AUTO OTHER THAN AUTO ONLY'_
I._— EACH ACCIDENT $
I
AGGREGATE $
EXCESS LIABILITY I EACH OCCURRENCE $ 5,000,000
B 1 X UMBRELLA FORM XOO G23792254 12/01/07 12/01/08 AGGREGATE 1$ 5,000,000
I---
I - _—.
OTHER THAN UMBRELLA FORM 1$
WORKERS COMPENSATION AND X WC ST TU- 0T r _ _
EMPLOYERS'LIABILITY 1 ,
C I DOO1 W00403(AOS) 112/01/07 12/01/08 EL EACH ACCIDENT $ 2,000,000
C THE PROPRIETOR/ X INCL ,0001W00404 (OR,WI) '.12/01/07 12/01/08 EL DISEASE-POLICY LIMIT $ 2,000,000
PARTNERS/EXECUTIVE 0001W00405(NJ) 1
A OFFICERS ARE I IEXCL' 112/01/07 12/01/08 EL DISEASE-EACH EMPLOYEE]$ 2,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 111
TERM OF CONTRACT:8/16/00-8/15/2012. CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY
POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED.$100,000 PER OCCURRENCE SELF INSURED RETENTION
APPLIES ONLY TO THE ABOVE GENERAL LIABILITY POLICY.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WLL ENDEAVOR TO MAIL :{Q DAYS WRITTEN NOTICE TO THE
WELD COUNTY CERTIFICATE HOLDER NAMED HEREIN.BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR
BOARD OF COUNTY COMMISSIONERS
ATTENTION COUNTY CLERK LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,TS AGENTS OR REPRESENTATIVES.OR THE
915 10TH STREET ISSUER OF THIS CERTIFICATE
GREELEY, CO 80632
MARSH USA INC.
��1y BY: Mary Radaszewski -J{til�+7 �4itia.s?3df-.-44`"
l:.0s�I?/!J[a/T(l cif-776,443
MMI(3/02 >LID AS OF: 12/14/ �1
/1l' d, 2'-‘2 r2008-0169 .
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